Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report

• Published in: Daehan oe'sang haghoeji Vol. 36; no. 2; pp. 152 - 156
• Main Authors: Kim, Yoonseob, Kim, Tae Ah, Hahn, Hyung Min, Kang, Byung Hee
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Traumatology 01.06.2023; Korean Society of Traumatology; 대한외상학회
• Subjects: acellular dermis; Case Report; case reports; open abdomen techniques; skin transplantation; wounds and injuries; 의학일반; Case reports; Acellular dermis; Skin transplantation; Open abdomen techniques; Wounds and injuries
• ISSN: 2799-4317; 2287-1683
• DOI: 10.20408/jti.2022.0024

Delayed closure of an open abdomen (OA) is a clinically challenging task despite its various modalities. It is substantially more difficult when the duration of OA treatment is prolonged due to a patient's condition. We introduced the management of a patient who had a delayed OA treatment spanning approximately 3 months due to severe abdominal contamination. The 64-year-old male patient had an injured pelvis pressed by a road roller. After visiting a trauma center, the patient initially underwent damage control surgery and OA management; however, early primary abdominal closure failed due to severe peritonitis. After negative pressure wound therapy for several months, an acellular dermal matrix graft followed by a skin graft were successfully used as treatments. A combination of acellular dermal matrix graft, negative pressure wound therapy, and skin graft techniques is a considerable management sequence for patients subjected to delayed OA treatment.